ABOUT US

Cigna is a global health insurance company, dedicated to its mission of helping the people we serve improve their health, well-being and sense of security. We are a young and dynamic company that is constantly evolving to keep alive the highest concept of wellness and provide our customers the best service.

Our team is expanding and we are looking for new members to join our International Clinical Team as Intake Care Analysts to operate on a global scale.

You will be a member of the Clinical Operations team and work closely with the Pre-Authorization team

JOB DESCRIPTION

You will be responsible for the timely intake and processing of all incoming cases as well as Guarantee of Payments.

The Guarantee of Payment is a confirmation towards the hospital regarding length of admission, treatment, and insured amount

Analyze requests for hospitalization and evaluating treatments, as well as amount and the length of stay depending on policyAct as liaison between medical providers and insured individual, mainly by phone, to obtain all necessary informationReview and monitor cases to ensure files are cascaded to appropriate teams, depending on specific identified triggersAct as point of contact for hospitals regarding all questions related to the Guarantee of PaymentNegotiate discounts with providersMaintain all necessary information regarding the hospitalizations in an internal databaseTranslate and interpret medical and other relevant documents for case analysisWork independently and effectively to communicate to internal and external customers by telephone and e-mailMaintain accurate workflow and process documentation following outlined processes

Qualifications

High School Diploma required1-2 years of experience in a customer service or claims environmentExperience in healthcare operations background preferredAbility to speak, write and read English, any other language a plusBusiness Application: Ability to initiate research, plan and coordinateProven ability to build relationships with matrix partnersAbility to work and problem solve independently but escalate when needed Convey information clearly to both medical providers, internal partners, and customersMedical Terminology Background

Competencies

Customer-focused: works efficiently with internal partners to find best solutions for customersSkilled decision-maker: takes the right action on dedicated files based on available  informationAccuracy: ensures concise and correct information is being deliveredDisciplined: follows procedures, agreements and document flows correctly.Efficiency: able to strike the right balance between quality and quantityTeam-player: enjoys working as part of a team and building internal networksComputer-literate: quick to learn International in-house systems and use current office applications

About The Cigna Group

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.